| NPI | 1508201732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURIY BAGDASAROV Owner 425-355-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE00008641) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |